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      Perceived Social Support Among People With Physical Disability

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          Abstract

          Background

          Disability is more based on social, rather than medical aspects. Lack of attention and social support may impact on participation of people with physical disability in various aspects and their return to normal life in the society.

          Objectives

          This study was conducted to determine perceived social support and related factors among physically disabled in the city of Tehran.

          Patients and Methods

          This cross-sectional study by using simple random sampling was conducted on 136 people with physically disabled who were covered by Welfare Organization of Tehran. The Norbeck social support questionnaire was used .Multiple linear regression analysis with the backward method was used to identify the adjusted association between perceived social support as dependent variable and demographic variables as independent variables.

          Results

          The present sample comprised of 68 (50%) male and 68 (50%) female with the mean age of 33 (SD = 8.9) years. Based on the results, mean of functional support was 135. 57 (SD = 98.77) and mean of structural support was 77.37 (SD = 52.37). Regression analysis model, demonstrates that variables of age and marital status remained in the model as significant predictors of functional support (P = 0.003, P = 0.004, respectively) and structural support (P = 0.002, P = 0.006, respectively).

          Conclusions

          Based on the results, participants in the study didn’t have favorable status with respect to perceived social support (in all dimensions) from their social network members. While, social support as one of the social determinants of health, plays an important role in improving psychological conditions in people’s lives; therefore, being aware of social support and designing effective interventions to improve it for the disabled is very important.

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          Most cited references30

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          Measurement of socioeconomic status in health disparities research.

          Socioeconomic status (SES) is frequently implicated as a contributor to the disparate health observed among racial/ ethnic minorities, women and elderly populations. Findings from studies that examine the role of SES and health disparities, however, have provided inconsistent results. This is due in part to the: 1) lack of precision and reliability of measures; 2) difficulty with the collection of individual SES data; 3) the dynamic nature of SES over a lifetime; 4) the classification of women, children, retired and unemployed persons; 5) lack of or poor correlation between individual SES measures; and 6) and inaccurate or misleading interpretation of study results. Choosing the best variable or approach for measuring SES is dependent in part on its relevance to the population and outcomes under study. Many of the commonly used compositional and contextual SES measures are limited in terms of their usefulness for examining the effect of SES on outcomes in analyses of data that include population subgroups known to experience health disparities. This article describes SES measures, strengths and limitations of specific approaches and methodological issues related to the analysis and interpretation of studies that examine SES and health disparities.
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            Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support.

            Physical activity has been associated with a small improvement in quality of life (QOL) among those with multiple sclerosis (MS). This relationship may be indirect and operate through factors such as disability, fatigue, mood, pain, self-efficacy and social support. The present study examined variables that might account for the relationship between physical activity and QOL in a sample (N = 292) of individuals with a definite diagnosis of MS. The participants wore an accelerometer for 7 days and then completed self-report measures of physical activity, QOL, disability, fatigue, mood, pain, self-efficacy and social support. The data were analysed using covariance modelling in Mplus 3.0. The model provided an excellent fit for the data (chi(2) = 51.33, df = 18, p < 0.001, standardised root mean squared residual = 0.03, comparative fit index = 0.98). Those who were more physically active reported lower levels of disability (gamma = -0.50), depression (gamma = -0.31), fatigue (gamma = -0.46) and pain (gamma = -0.19) and higher levels of social support (gamma = 0.20), self-efficacy for managing MS (gamma = 0.41), and self-efficacy for regular physical activity (gamma = 0.49). In turn, those who reported lower levels of depression (beta = -0.37), anxiety (beta = -0.15), fatigue (beta = -0.16) and pain (beta = -0.08) and higher levels of social support (beta = 0.26) and self-efficacy for controlling MS (beta = 0.17) reported higher levels of QOL. The observed pattern of relationships supports the possibility that physical activity is indirectly associated with improved QOL in individuals with MS via depression, fatigue, pain, social support and self-efficacy for managing MS.
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              Stress, social support, and HIV-status disclosure to family and friends among HIV-positive men and women.

              Patterns of HIV-status disclosure and social support were examined among 331 HIV-positive men and women. Structured interviews assessed HIV-status disclosure to family and friends, perceived stress of disclosure, social support, and depression. Results showed patterns of selective disclosure, where most participants disclosed to some relationship members and not to others. Rates of disclosure were associated with social support. Friends were disclosed to most often and perceived as more supportive than family members, and mothers and sisters were disclosed to more often than fathers and brothers and perceived as more supportive than other family members. Path analyses tested a model of HIV-status disclosure showing that perceived stress of disclosing HIV was associated with disclosure, and disclosures were related to social support. Disclosure and its association to social support and depression varied for different relationships and these differences have implications for mental health and coping interventions.
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                Author and article information

                Journal
                Iran Red Crescent Med J
                Iran Red Crescent Med J
                10.5812/ircmj
                Kowsar
                Iranian Red Crescent Medical Journal
                Kowsar
                2074-1804
                2074-1812
                05 August 2013
                August 2013
                : 15
                : 8
                : 663-667
                Affiliations
                [1 ]Social Determinant of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran
                [2 ]Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
                [3 ]University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran
                [4 ]Department of Epidemiology and Biostatistics, Public Health School, Kermanshah University of Medical Science, Kermanshah, IR Iran
                [5 ]Department of Epidemiology and Biostatistics, Public Health School, Tehran University of Medical Science, Tehran, IR Iran
                Author notes
                [* ]Corresponding Author: Abolfazl Mahmoodi, Beheshti University of Medical Sciences, Tehran, IR Iran. Tel/Fax: +98-22756112, E-mail: abi_mhmd@ 123456yahoo.com .
                Article
                10.5812/ircmj.12500
                3918189
                24578832
                2f5897f0-938a-4e09-9710-fd1e61c40ab3
                Copyright © 2013, Iranian Red Crescent Medical Journal; Licensee Kowsar Ltd

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 May 2013
                : 29 June 2013
                : 10 July 2013
                Categories
                Research Article

                Medicine
                perceived social support,physically disabled,welfare organization,iran
                Medicine
                perceived social support, physically disabled, welfare organization, iran

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